scheda ALBERGHIERA.indd

HOTEL RESERVATION FORM
Please complete this form using block letters and return it to:
OIC srl, Viale Matteotti 7, 50121 Florence, Italy
not later than 20 January 2014
Tel. + 39 055 50351 - Fax + 39 055 5035230
[email protected] - www.oic.it/icgs2014
PARTICIPANT DATA
Family Name ___________________________________________ First Name ____________________________________________________
Organization/Institution __________________________________________________________________________________________________
Home address ________________________________________________________________________________________________________
Zip code _________________ City ____________________________________ Country ____________________________________________
Tel. ________________________________________________________ Fax ____________________________________________________
E-mail ______________________________________________________________________________________________________________
*(mandatory)
Fiscal Code (mandatory for Italian participants only) _______________________________________________________________________________
Date and place of birth (mandatory) __________________________________________________________________________________________
INVOICING ADDRESS
Please head invoice to __________________________________________________________________________________________________
Address ____________________________________________________________________________________________________________
Fiscal / VAT code (MANDATORY for Company/Travel Agency) __________________________________________________________________________
Please send me a copy of the invoice:

by e-mail as a PDF file
or

hard copy to my postal address
HOTEL RESERVATION
Room reservations can only be processed once your first down-payment has been received. Balance is required by 20 November 2013. For hotel accommodation requests
after 20 November 2013, the full prepayment will be requested.
Prices in euro, including breakfast and VAT.
Hotel category
Down-payment per room
Total €
Conrad Centennial Singapore
€ 580,00
€ ________________
Marina Mandarin
€ 580,00
€ ________________
Pan Pacific Singapore
€ 580,00
€ ________________
Swissotel The Stamford
€ 580,00
€ ________________
Hotel name __________________________________________________________

Nr. ________ Double room(s) for single use
Date of arrival _____ February 2014

Smoking room

Non-smoking room

Nr. ______ Double room(s)
Date of departure _____ February 2014
Arrival after 18.00 hrs

yes
Length of stay _______ nights

no
Please repeat your Surname ______________________________________ First name __________________________________________________
I herewith enclose the following amounts:
Hotel reservation
€ __________________________
TERMS OF PAYMENT

CREDIT CARD

VISA

MASTERCARD

AMEX
Card No.__________________________________________________Exp. date _____________________________________________________
Security code (last 4 digits on the front of the card, AMERICAN EXPRESS only) ______________________________________________________________
Security code (last 3 digits on the back of the card, VISA and MASTERCARD only) ____________________________________________________________
Cardholder’s Name ______________________________________________________________________________________________________
I hereby authorise the use of my credit card for the purposes specified above and, in case of hotel reservation, to charge the remaining balance by 20 November 2013.
Date _____________________

Signature ___________________________________________________________
BANK TRANSFER to: OIC srl, Cassa di Risparmio di Firenze, Ag. 1, Viale Matteotti 20/r - 50132, Florence
IBAN IT39S0616002801000010628C00, SWIFT CRFiiT3F
No charges to the recipient.
A copy of the bank transaction has to be sent together with the registration and hotel accommodation form to OIC Srl by fax or e-mail.
The sender’s full name and address must be clearly stated in the transfer order as well as the payment purposes.
ATTENTION:
Registrations and hotel accommodation booking can be considered valid only after having received the payment.
Forms without proof of payment will not be processed.
DECLARATION - Your signature is mandatory in order to process your registration and hotel booking!
According to art. 13/Law 196/2003, OIC srl and OIC Way srl are authorised to use my personal data for purposes connected to the Congress management.
I also confirm that I have understood the cancellation, payment and refund conditions for individual registration and hotel booking specified in the congress website.
Date _____________________
Signature ___________________________________________________________